Alexander Darko Addison Valid NPI

Individual provider · Psychiatric/Mental Health Registered Nurse · San Bernardino, CA

NPI

1568979656

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Registered Nurse (Registered Nurse)

Specialty group

Nursing Service Providers

Taxonomy code

163WP0808X

License number

734124 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2018-01-10

Last updated

2018-06-20